ZINNERS SYNDROME A RARE PRESENTATION

Abstract

Seminal vesicle cyst in association with
ipsilateral renal agenesis was described
by Zinner in 1914 and popularly known
as Zinners syndrome. Most of them are
asymptomatic. Usually they present in
the second or third decade of life. We
would like to present a case of Zinners
syndrome. 21 year old male patient presented
with dysuria and obstructive voiding
symptoms of one year duration. On
clinical evaluation the patient was found
to be normal. Ultrasonogram revealed
absent right kidney with a cyst protruding
into right lateral wall and base of bladder.
Intravenous urogram confirmed our finding.
Contrast enhanced CT and TRUS
confirmed our findings. Also we did a
cystoscopy examination under local anesthesia
which revealed a normal study
except absent right hemitrigone. Since
the patient was symptomatic we did a
trans rectal ultrasound guided aspiration.
On follow up the patient is symptom free.
It is one of the rare genitourinary anomaly
which we were able to manage by
minimally invasive guided aspiration.
Embryologically its due to abnormal mesonephric
duct development resulting in
ejaculatory duct atresia producing ipsilateral
seminal vesicle cyst and ureteric bud
anomaly causing ipsilateral renal agenesis.
Keyword :Mesonephric duct anomaly,
Seminal vesicle cyst,renal agenesis,